AAPC CPC FINAL EXAM (2026/2027)
UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
Whatmformmismusedmtomsubmitmamprovidersmchargemtomtheminsurancemcarrier?
A.mABN
B.mUB-04
C.mCMS-1500m-mCORRECTmANSWERmC.mCMS-1500
AAPCmcredentialedmcodersmhavemprovenmmasterymofmwhatminformation?
A.mCodemsetsm
B.mEvaluationmandmmanagementmprinciplesm
C.mDocumentationmguidelinesm
D.mAllmofmthemabovem-mCORRECTmANSWERmD.mAllmthemabove
Whenmcodingmanmoperativemreport,mwhaatmactionmwouldmNOTmbemrecommended?
A.mcodingmfrommthemheadermwithoutmreadingmthembodymofmthemreportm
B.mreadingmthembodymofmthemreportm
C.mhighlightingmunfamiliarmwords
D.mstartingmwithmthemproceduremlistedm-
mCORRECTmANSWERmA.mcodingmfrommthemheadermwithoutmreadingmthembodymofmthemreport
whenmaremprovidersmresponsiblemformobtainingmanmABNmformamservicemNOTmconsideredmmedically
mnecessarym
A.mduringmamproceduremormservicem
,B.mAftermamdenialmhasmbeenmreceivedmfrommMedicarem
C.mAftermprovidingmservicemormitemmtombeneficiary
D.mPriormtomprovidingmamservicemormitemmtombeneficiarym-
mCORRECTmANSWERmD.mpriormtomprovidingmamservicemormitemmtombeneficiary
EvaluationmandmmanagementmservicesmaremoftenmprovidedminmamstandardmformatmsuchmasmSOAPm
notes.mWhatmdoesmthemacronymmSOAPmstandmfor?
A.msubjective,mobjective,mactivity,mperiod
B.mstandard,mobjective,madvice,mprovider
C.msource,mopinion,maction,mplan
D.mscope,mobservation,maction,mplanm-
mCORRECTmANSWERmA.msubjective,mobjective,mactivity,mperiod
Whatmismammyocardialminfarction?
A.mmalfunctionminmonemofmthemvalvesminmthemheart,mdisruptingmbloodmflow
B.mlackmofmoxygenmtomthemheartmtissue,mresultingminmtissuemdeathm
C.mabnormalmheartmbeatsmcausingmpain,mnauseamandmdiscomfortm
D.movergrowthmofmthemmusclemtissue,maffectingmthemheartsmabilitymtompumpm-
mCORRECTmANSWERmB.mlackmofmoxygenmtomthemheartmtissue,mresultingminmtissuemdeath
whichmofmthemfollowingmismtruemaboutmthemfunctionmofmthemcochlea?
A.mitmhelpsmwithmbalancemonly
B.mitmhelpsmwithmbalancemandmsoundmtransmission
C.mitsmfunctionmismtomexcretemcerumenm(wax)mtomhelpmkeepmthemearmclean
D.mitmtransmitsmsoundmonlym-mCORRECTmANSWERmD.mitmtransmitsmsoundmonly
whichmofmthemfollowingmbestmdescribesmpsoriasism
,A.manminflammatorymconditionmcharacterizedmbymrednessmpustularmandmvesicularmlesions,mcrusts,m
andmscalesm
B.manmallergicmreactionmcharacterizedmbymwhealsmandmgenerallymaccompaniedmbympruritusm
C.mamchronicmconditionmcharacterizedmbymred,mdry,melevatedmlesions,mcoveredmbymsilverymscales
D.mamcontagiousminfectionmofmthemskinmgenerallymcausedmbymstaphylococcusmbacteriumm-
mCORRECTmANSWERmC.mamchronicmconditionmcharacterizedmbymred,mdry,melevatedmlesions,mcovere
dmbymsilverymscales
Amthinmmembranemliningmthemchambersmofmthemheartmandmvalvesmismcalledmthe:
A.mEpicardiumm
B.mendocardiumm
C.mpericardium
D.mmyocardiumm-mCORRECTmANSWERmB.mEndocardium
Themdome-shapedmmusclemundermthemlungsmflatteningmduringminspirationmismthe?
A.mdiaphragm
B.mpleuram
C.mmediastinum
D.mBronchusm-mCORRECTmANSWERmA.mDiaphragm
whenmampatientmhasmamconditionmthatmismbothmacutemandmchronicmandmtheremaremseparatementries
mformbothmhowmismitmreported?
A.mcodemonlymthemchronicmcode
B.mcodemonlymthemacutemcode
C.mcodembothmsequencingmthemacutemfirstm
D.mcodembothmsequencingmthemchronicmfirstm-
mCORRECTmANSWERmC.mcodembothmsequencingmthemacutemfirst
, whichmdiagnosismcode(s)mbelowmreportsmpainminmthemleftmandmrightmears
A.mH92.09
B.mH92.03
C.mH93.8X3
D.mH92.01,mH92.02m-mCORRECTmANSWERmB.mH92.03
whatmismthemICD-10-CMmcodemformnauseam
A.mT75.3XXA
B.mR11.0
C.mR11.11
D.mR11.2m-mCORRECTmANSWERmB.mR11.0
Ampatientmpresentsmtomthememergencymdepartmentmwithmnauseamandmvomiting,mabdominalmpainm
andmfever.mthemprovidermsuspectsmappendicitis.mThemtestmresultsmarempending.mWhatmICD-10-
CMmcode(s)mis/aremreported?
A.mR11.2,mR10.9,mR50.9,mK37
B.mR11.2,mR10.9,mR50.9
C.mK37
D.mR11.0,mR11.10,mR1.9,mR50.9m-mCORRECTmANSWERmB.mR11.2,mR10.9,mR50.9
Am10mmonth-oldmcomesmintomthempediatrician'smofficemformamharsh,mbark-
likemcough.mShemismdiagnosedmwithmcroup.mThemmothermalsomwantsmthempediatricianmtomlookmatma
mrashmthatmhasmdevelopedmonmhermleg.mThempediatricianmprescribesmovermthemcountermmedication
mofmacetaminophenmformthemcroupmandmhydrocortisonemcreammformthemrashmonmthemleg.mShemismto
mfollowmupminmfivemdaysmormreturnmearliermifmthemconditionsmworsen.mWhatmICD-10-
CMmcode(s)mshouldmbemreportedmformthismvisit?
A.mJ05.0,mR21
UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
Whatmformmismusedmtomsubmitmamprovidersmchargemtomtheminsurancemcarrier?
A.mABN
B.mUB-04
C.mCMS-1500m-mCORRECTmANSWERmC.mCMS-1500
AAPCmcredentialedmcodersmhavemprovenmmasterymofmwhatminformation?
A.mCodemsetsm
B.mEvaluationmandmmanagementmprinciplesm
C.mDocumentationmguidelinesm
D.mAllmofmthemabovem-mCORRECTmANSWERmD.mAllmthemabove
Whenmcodingmanmoperativemreport,mwhaatmactionmwouldmNOTmbemrecommended?
A.mcodingmfrommthemheadermwithoutmreadingmthembodymofmthemreportm
B.mreadingmthembodymofmthemreportm
C.mhighlightingmunfamiliarmwords
D.mstartingmwithmthemproceduremlistedm-
mCORRECTmANSWERmA.mcodingmfrommthemheadermwithoutmreadingmthembodymofmthemreport
whenmaremprovidersmresponsiblemformobtainingmanmABNmformamservicemNOTmconsideredmmedically
mnecessarym
A.mduringmamproceduremormservicem
,B.mAftermamdenialmhasmbeenmreceivedmfrommMedicarem
C.mAftermprovidingmservicemormitemmtombeneficiary
D.mPriormtomprovidingmamservicemormitemmtombeneficiarym-
mCORRECTmANSWERmD.mpriormtomprovidingmamservicemormitemmtombeneficiary
EvaluationmandmmanagementmservicesmaremoftenmprovidedminmamstandardmformatmsuchmasmSOAPm
notes.mWhatmdoesmthemacronymmSOAPmstandmfor?
A.msubjective,mobjective,mactivity,mperiod
B.mstandard,mobjective,madvice,mprovider
C.msource,mopinion,maction,mplan
D.mscope,mobservation,maction,mplanm-
mCORRECTmANSWERmA.msubjective,mobjective,mactivity,mperiod
Whatmismammyocardialminfarction?
A.mmalfunctionminmonemofmthemvalvesminmthemheart,mdisruptingmbloodmflow
B.mlackmofmoxygenmtomthemheartmtissue,mresultingminmtissuemdeathm
C.mabnormalmheartmbeatsmcausingmpain,mnauseamandmdiscomfortm
D.movergrowthmofmthemmusclemtissue,maffectingmthemheartsmabilitymtompumpm-
mCORRECTmANSWERmB.mlackmofmoxygenmtomthemheartmtissue,mresultingminmtissuemdeath
whichmofmthemfollowingmismtruemaboutmthemfunctionmofmthemcochlea?
A.mitmhelpsmwithmbalancemonly
B.mitmhelpsmwithmbalancemandmsoundmtransmission
C.mitsmfunctionmismtomexcretemcerumenm(wax)mtomhelpmkeepmthemearmclean
D.mitmtransmitsmsoundmonlym-mCORRECTmANSWERmD.mitmtransmitsmsoundmonly
whichmofmthemfollowingmbestmdescribesmpsoriasism
,A.manminflammatorymconditionmcharacterizedmbymrednessmpustularmandmvesicularmlesions,mcrusts,m
andmscalesm
B.manmallergicmreactionmcharacterizedmbymwhealsmandmgenerallymaccompaniedmbympruritusm
C.mamchronicmconditionmcharacterizedmbymred,mdry,melevatedmlesions,mcoveredmbymsilverymscales
D.mamcontagiousminfectionmofmthemskinmgenerallymcausedmbymstaphylococcusmbacteriumm-
mCORRECTmANSWERmC.mamchronicmconditionmcharacterizedmbymred,mdry,melevatedmlesions,mcovere
dmbymsilverymscales
Amthinmmembranemliningmthemchambersmofmthemheartmandmvalvesmismcalledmthe:
A.mEpicardiumm
B.mendocardiumm
C.mpericardium
D.mmyocardiumm-mCORRECTmANSWERmB.mEndocardium
Themdome-shapedmmusclemundermthemlungsmflatteningmduringminspirationmismthe?
A.mdiaphragm
B.mpleuram
C.mmediastinum
D.mBronchusm-mCORRECTmANSWERmA.mDiaphragm
whenmampatientmhasmamconditionmthatmismbothmacutemandmchronicmandmtheremaremseparatementries
mformbothmhowmismitmreported?
A.mcodemonlymthemchronicmcode
B.mcodemonlymthemacutemcode
C.mcodembothmsequencingmthemacutemfirstm
D.mcodembothmsequencingmthemchronicmfirstm-
mCORRECTmANSWERmC.mcodembothmsequencingmthemacutemfirst
, whichmdiagnosismcode(s)mbelowmreportsmpainminmthemleftmandmrightmears
A.mH92.09
B.mH92.03
C.mH93.8X3
D.mH92.01,mH92.02m-mCORRECTmANSWERmB.mH92.03
whatmismthemICD-10-CMmcodemformnauseam
A.mT75.3XXA
B.mR11.0
C.mR11.11
D.mR11.2m-mCORRECTmANSWERmB.mR11.0
Ampatientmpresentsmtomthememergencymdepartmentmwithmnauseamandmvomiting,mabdominalmpainm
andmfever.mthemprovidermsuspectsmappendicitis.mThemtestmresultsmarempending.mWhatmICD-10-
CMmcode(s)mis/aremreported?
A.mR11.2,mR10.9,mR50.9,mK37
B.mR11.2,mR10.9,mR50.9
C.mK37
D.mR11.0,mR11.10,mR1.9,mR50.9m-mCORRECTmANSWERmB.mR11.2,mR10.9,mR50.9
Am10mmonth-oldmcomesmintomthempediatrician'smofficemformamharsh,mbark-
likemcough.mShemismdiagnosedmwithmcroup.mThemmothermalsomwantsmthempediatricianmtomlookmatma
mrashmthatmhasmdevelopedmonmhermleg.mThempediatricianmprescribesmovermthemcountermmedication
mofmacetaminophenmformthemcroupmandmhydrocortisonemcreammformthemrashmonmthemleg.mShemismto
mfollowmupminmfivemdaysmormreturnmearliermifmthemconditionsmworsen.mWhatmICD-10-
CMmcode(s)mshouldmbemreportedmformthismvisit?
A.mJ05.0,mR21